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Emcrc Application Form: Headquarters Highway Patrol Group

This document contains an application form for the Executive Motorcycle Riding Course (EMCRC) conducted by the Philippines National Police - Highway Patrol Group. The application includes basic personal information such as name, rank, badge number, contact details, current unit, and motorcycle experience. It must be signed by two PNP officers who recommend the applicant and is subject to approval. Also included are an information sheet collecting further details, a notarized waiver releasing the PNP of liability, a personal data sheet, and an original medical certificate. All documents are organized within a table of contents for the EMCRC applicant's file.

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Jed-Har Gar
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4K views4 pages

Emcrc Application Form: Headquarters Highway Patrol Group

This document contains an application form for the Executive Motorcycle Riding Course (EMCRC) conducted by the Philippines National Police - Highway Patrol Group. The application includes basic personal information such as name, rank, badge number, contact details, current unit, and motorcycle experience. It must be signed by two PNP officers who recommend the applicant and is subject to approval. Also included are an information sheet collecting further details, a notarized waiver releasing the PNP of liability, a personal data sheet, and an original medical certificate. All documents are organized within a table of contents for the EMCRC applicant's file.

Uploaded by

Jed-Har Gar
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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Republic of the Philippines

National Police Commission


PHILIPPINES NATIONAL POLICE
HEADQUARTERS HIGHWAY PATROL GROUP
Camp BGen Rafael T Crame, Quezon City

EMCRC APPLICATION FORM


(For Uniformed Personnel)

2x2
picture

Date Accomplished: ___________________

EMCRC Class: _____________

PRINT ALL ENTRIES


1. Rank Last Name First Name Middle Qualifier

2. Badge Number: 3. Designation:

4. Unit Assigned
5. Office Address

6. Home Address

7. Place Of Birth 8. Date Of Birth 9. Age

10. Sex 11.Civil Status 12. Religion

13. Office Telephone No. 14. Cellphone No. 15. E-mail Address

16. Do you have a big bike (400cc up)? ________

If YES, please indicate Make/Type _______________________________


If NO, what is your dream big bike: ____________________________
16. Why do you want to join this training? __________________________________________________

Recommended By:

_______________________________ _______________________________
PNP Police Commission Officer PNP Police Commission Officer
Rider Course Class - __________ Rider Course Class - __________

________________________________
Applicant Signature

APPROVED / DISAPPROVED
Republic of the Philippines
National Police Commission
PHILIPPINES NATIONAL POLICE
HEADQUARTERS HIGHWAY PATROL GROUP
Camp BGen Rafael T Crame, Quezon City

INFORMATION SHEET
(For Uniformed Personnel)

2x2
picture

Date Accomplished: ___________________

Course: EMCRC

EMCRC Class: _________________________

PRINT ALL ENTRIES

1. Rank Last Name First Name Middle Name Qualifier

2. Badge Number: 3. Designation:

4. Unit Assigned

5. Office Address

6. Home Address (House No. /Street/ Municipal/ City/ Province)

7. Place Of Birth 8. Date Of Birth 9. Age

10. Sex 11.Civil Status 12. Religion

13. Office Telephone No. 14. Cellphone No. 15. E-mail Address
____________________________________
Signature Over Printed Name

Republic of the Philippines )


_____________________ ) S.S.

WAIVER

I, one of the
students/participants has agreed to voluntarily undergo the Executive Motorcycle Riding
Course (EMCRC) to be conducted by the PNP-Highway Patrol Group from the period of
, 2020 to , 2020.
That I was appraised/oriented on the dangers of the course and the risk that it
may imposed upon myself and I am still willing to undergo the said course despite the
said risks.
That I will not hold any of the training committee and staff of PNP-Highway Patrol
Group (HPG) who will be responsible in the conduct of the said course not liable should
something happen to me while undergoing the said training.

Execute this day of 2020 at


.

(Signature over Printed Name)

SUBSCRIBE AND SWORN to before me on the date and

________________________________________________________________
______________________________________________________________________
.
Doc. No.
Page No.
Book No.
Series of 2020

TABLE OF CONTENTS

Application Form--------------------- TAB A

Information Sheet -------------------- TAB B

Waiver (Notarized) ------------------ TAB C

Personal Data Sheet ----------------- TAB D

Original Medical Certificate ------- TAB E

(2pcs) 2x2 ID Pictures

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